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S76.011 vs S76.012

S76.011 (Strain of muscle, fascia and tendon of right hip) compared with S76.012 (Strain of muscle, fascia and tendon of left hip), from the official CMS tabular data. S76.011 and S76.012 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S76.011
Right
Strain of muscle, fascia and tendon of right hip
S76.012
Left
Strain of muscle, fascia and tendon of left hip

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S76.011 and S76.012 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S76.011Strain of muscle, fascia and tendon of right hipS76.012Strain of muscle, fascia and tendon of left hip
Billing statusNon-billable header

Report instead: S76.011A, S76.011D, S76.011S

Non-billable header

Report instead: S76.012A, S76.012D, S76.012S

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionStrain of muscle, fascia and tendon of right hip is a non-billable ICD-10-CM category code (S76.011).Strain of muscle, fascia and tendon of left hip is a non-billable ICD-10-CM category code (S76.012).
7th characterThe appropriate 7th character is to be added to each code from category S76The appropriate 7th character is to be added to each code from category S76

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources